Individual
SHEENA M PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
601 RIGHTERS FERRY RD, BALA CYNWYD, PA 19004-1305
(609) 375-8064
Mailing address
PO BOX 599, KINGSTON, NJ 08528-0599
(609) 375-8064
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
06/03/2014
Last updated
08/16/2016
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